Georgia Dept. of Corrections

NPI #1578942769 in Grovetown, Georgia

Provider Information

NPI Number
1578942769
Entity Type
Organization
Organization Name
Georgia Dept. of Corrections
Primary Specialty
General Acute Care Hospital
Enumeration Date
May 21, 2015
Last Updated
May 21, 2015

Practice Location

Address
3001 GORDON HWY
State
Georgia
ZIP Code
30813-3808
Phone
(706) 855-4984

Authorized Official

Name
DR. TIMOTHY YOUNG, M.D.
Title
CLINIC DIRECTOR
Phone
(706) 855-4833

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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